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How much coverage would you need and
What would it cost?

This worksheet is to help you determine the extent of your graded benefit life insurance needs. Whether you purchase coverage or not, it is always good to know your exposure. Please feel free to print the worksheet once you have completed it and calculated your total.


:: Calculate your needs with our Life Insurance Needs Worksheet
:: What will Graded Benefit Life Insurance cost?
:: How do I apply?


Life Insurance Needs Worksheet

Children's
    College Fund    
    Trust Fund    
    Other    
Debt
    Mortgage    
    Outstanding Loans    
    Medical Bills    
    Credit Card Debt    
    Other    
Death-Related Expenses
    Funeral Home    
    Cemetery Plot    
    Casket or Urn    
    Hospitality    
    Other    
Other Death-Related Expenses
       
       
       

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What will Graded Benefit Life Insruance Cost?

Based on the Total Final Expenses above, You can decide what you would like to enter as the Face Amount (or benefit) for your plan. Your total expenses have been entered in the Face amount field as a suggestion.

1. Face Amount Selected (Min $1,000 - Max $50,000)
3. Current Age (Min 40 - Max 80):
4. Gender: Male
Female

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Download your Graded Benefit Life Insurance Application

Use the premium calculated above on the application downloaded below:

 :: Pennsylvania residents only
:: Residents of all other states


Last updated on: 11/14/2008

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